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Despite the severity of problems presented with this case, the local mental health and mental retardation services could not agree on a joint care plan, and each system identified the client as the primary responsibility of the other system. Licensed through the Texas Department of Human Services and certified through the Texas Department of Mental Health and Mental Retardation as a Home and Community-Based Services ( To solve all these problems of access to services, both the mental health and mental retardation service structures must be willing to cross boundaries and transcend the issues of primary diagnosis and territorialism which have long impeded the effective delivery of services (Reiss, 1993). |
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